Organization
LIFELINE HOME HEALTH CARE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY D JEANIS RN (ADMINISTRATOR)
(405) 224-4891
Entity
Organization
Contact information
Practice address
917 S 4TH ST, CHICKASHA, OK 73018-4655
(405) 224-4891
(405) 224-4895
Mailing address
PO BOX 1348, CHICKASHA, OK 73023-1348
(405) 224-4891
(405) 224-4895
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
7466
OK
Other
Enumeration date
06/16/2005
Last updated
08/22/2020
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